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- � � <br /> everen APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> - � - 10235 <br /> CITY ENGINEERS �J�_I �� <br />� EVF.FcTT,WASHI��GTON PERMITNO. � <br /> I � TheUndersi�ned ��NFQ/C/J V✓lCT�I6� �-��/+T <br /> ' Hereby applies for permission ro _ �QNS/ K Ut_/ 25� �Q NIJCL � � �/�'"�1���� <br /> At the following location JV� i�iF_ SrN��NS�� GRCLE � <br /> SKETCH <br /> (Work ro be done) � <br /> � <br /> � � i <br /> � � <br /> '`n V <br /> � <br /> rXISTlN6 r^UF��? � C_�JTTER--- - 3 <br /> � � 13.5� � <br /> II <br /> NE.W <br /> CdNCP.ETE ' <br /> --, ��� <br /> DRIWE'vJAY <br /> I ? � <br /> �� �o i ��� a <br /> ��i <br /> ' 5 <br /> ' �— � ND SCyLE <br /> DRIVEWAI SECTION The undersigned owner f�.reby agrees to hoid and <br /> ,. NO SCALE save harmless the City of Everett from any and all '. <br /> � � 2,5 ---�-�-"I claims tor damages that may arise because of installa� . <br /> �_. ��„ L�p—� tion and mainMnance of the improvemen[hereto � <br /> I 30" I 30' �J.�.:» aPPlied tor and further agrees to remove same upon �� <br /> , I"��- ----�Q--- -----T—� notice from ihe City and ic replace public property <br /> da a ed th reby. <br /> Si,gTn�aturc o p Ipal' t -- � <br /> ��h V.l ot.� <br /> coFvoi 7riis,sNtucn,iorv �o ,,1 ndd.�55 <br /> BE- POSTED ON JOQSITh. ��I`� �i. -�� -�'-- <br /> ' � Tr.leuh ne Number <br /> CF�I.LENGINEFRINGCEPL2536';� '� �1 / ���� Sqi�� ,�i ��,.,y � <br /> ' .?1 iin�; r- , - <br /> r� n�r-qrtE ccr:zn ��uc �iow�� � ����� � oace T— n �– <br /> �_—..12.SO–��f�/__�y ./ ' <br /> CHECK LIST 1 Fee <br /> � Water Valoe <br /> Drainage ' ��t. A pr�ovals � <br /> Curb&Gutter Enginee J��-v uy�lLZ^-�/_i /��7'�_7 <br /> Side�,valk ; <br /> �� � 1 �a[er . . -,?2 ' JS <br /> �" � i �` �0 �'YJ� .,1�� �U�r ;..:_;j. .- S�y7 A ' Street <�'. � .� �. � <br /> I�spector's Signature � /� Communications� ���a-e• _ 7-z � .yy- <br /> ' Traffic ��� G 2 �- <br /> . <br /> Planni'n 1S�(1��'.�____�J- <br /> -bate--L�-- Cl <br /> Remarks -- <br /> Notc: Original to Customer — <br /> , �aPY �o F��� 10 2�5 j , — <br /> 1 Copy to Insper.tor APP���a��` 1, �'.�'"i!/u. . /-c �1-/S- 7; <br /> A <br /> Date Appro ed ' <br />